DEPARTMENT OF INSURANCE
Affiliations
NameProfessional Insurance Marketers Inc.DOIID400645NAIC NPN3318210
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization10/15/19853/1/2001 
InactiveResidentAgentLife4/26/19835/31/2003 
InactiveResidentAgentPrepaid Dental Plan2/14/19843/1/2001 
InactiveResidentAgentHealth4/26/19835/31/2003 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveADENTA, Inc.301437Agent - Health3/1/20017/15/2002
InactiveADENTA, Inc.301437Agent - Prepaid Dental Plan3/1/19993/1/2001
InactiveAetna Health Inc.300694Agent - Health3/1/20015/31/2003
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization5/26/20003/1/2001
InactiveAetna Life Insurance Company301140Agent - Health10/13/19925/31/2003
InactiveAetna Life Insurance Company301140Agent - Life10/13/19925/31/2003
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Health3/8/199410/21/1998
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Life3/8/199410/21/1998
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/23/19985/31/2003
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life10/23/19985/31/2003
InactiveAmerican States Life Insurance Company301884Agent - Health12/30/199811/26/2001
InactiveAmerican States Life Insurance Company301884Agent - Life12/30/199811/26/2001
InactiveAmeritas Life Insurance Corporation300126Agent - Health4/19/19991/24/2000
InactiveAmeritas Life Insurance Corporation300126Agent - Life4/19/19991/24/2000
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20015/31/2003
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization5/25/19883/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health6/4/19938/24/2001
InactiveAnthem Life Insurance Company301209Agent - Life6/4/19938/24/2001
InactiveAthene Annuity and Life Company301893Agent - Health2/1/20005/31/2003
InactiveAthene Annuity and Life Company301893Agent - Life2/1/20005/31/2003
InactiveBanner Life Insurance Company301696Agent - Life8/20/19995/31/2003
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/20015/31/2003
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/20015/31/2003
InactiveCentennial Life Insurance Company (The)301561Agent - Health12/1/19953/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life12/1/19953/31/1997
InactiveCentre Life Insurance Company300341Agent - Health11/7/19973/31/1999
InactiveCitizens Security Life Insurance Company301257Agent - Health4/26/19835/31/2003
InactiveCitizens Security Life Insurance Company301257Agent - Life4/26/19835/31/2003
InactiveClarendon National Insurance Company300843Agent - Health9/20/20005/31/2003
InactiveCompDent Corporation301387Agent - Health3/1/20015/31/2003
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan2/14/19843/1/2001
InactiveContinental Casualty Company301019Agent - Health2/9/20015/31/2003
InactiveDental Plan Managers Inc.300547Agent - Health3/1/20017/15/2002
InactiveDental Plan Managers Inc.300547Agent - Prepaid Dental Plan12/14/19983/1/2001
InactiveDentiCare, Inc.300655Agent - Health3/1/20015/31/2003
InactiveDentiCare, Inc.300655Agent - Prepaid Dental Plan1/21/20003/1/2001
InactiveEmpower Annuity Insurance Company of America300259Agent - Health12/21/19935/31/2003
InactiveEmpower Annuity Insurance Company of America300259Agent - Life12/21/19935/31/2003
InactiveFirst Colony Life Insurance Company301179Agent - Life7/23/19985/31/2003
InactiveGuarantee Life Insurance Company301560Agent - Health9/30/19989/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life9/30/19989/8/2000
InactiveGuardian Life Insurance Company of America301316Agent - Health2/16/19845/31/2003
InactiveGuardian Life Insurance Company of America301316Agent - Life2/16/19845/31/2003
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20015/31/2003
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/15/19853/1/2001
InactiveHumana Insurance Company301104Agent - Health1/20/19955/31/2003
InactiveHumana Insurance Company301104Agent - Life1/20/19955/31/2003
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20005/31/2003
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20005/31/2003
InactiveJohn Alden Life Insurance Company300573Agent - Health12/10/199911/7/2002
InactiveJohn Alden Life Insurance Company300573Agent - Life12/10/199911/7/2002
InactiveKentucky Home Life Insurance Company300477Agent - Health12/1/19985/31/2003
InactiveKentucky Home Life Insurance Company300477Agent - Life12/1/19985/31/2003
InactiveLafayette Life Insurance Company (The)301039Agent - Health7/28/20005/31/2003
InactiveLafayette Life Insurance Company (The)301039Agent - Life7/28/20005/31/2003
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life6/16/19993/23/2001
InactiveMedical Life Insurance Company300693Agent - Health8/28/199512/31/2004
InactiveMedical Life Insurance Company300693Agent - Life8/28/199512/31/2004
InactiveMetropolitan Life Insurance Company301948Agent - Health6/19/19975/31/2003
InactiveMetropolitan Life Insurance Company301948Agent - Life6/19/19975/31/2003
InactiveMidland Life Insurance Company (The)300310Agent - Health6/20/19943/12/2002
InactiveMidland Life Insurance Company (The)300310Agent - Life6/20/19943/12/2002
InactiveNational Guardian Life Insurance Company300596Agent - Health1/17/19963/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life1/17/19963/31/1999
InactiveNational Life Insurance Company301852Agent - Health2/3/19976/21/2001
InactiveNational Life Insurance Company301852Agent - Life2/3/19976/21/2001
InactiveNew England Life Insurance Company300343Agent - Health5/19/19975/31/2003
InactiveNew England Life Insurance Company300343Agent - Life5/19/19975/31/2003
InactiveNorth American Company for Life and Health Insurance300291Agent - Health5/31/19955/31/2003
InactiveNorth American Company for Life and Health Insurance300291Agent - Life5/31/19955/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life4/1/19974/17/2000
InactivePaul Revere Life Insurance Company300971Agent - Health11/24/19978/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life11/24/19978/24/2000
InactivePeoples Benefit Life Insurance Company301895Agent - Health7/23/19975/31/2003
InactivePeoples Benefit Life Insurance Company301895Agent - Life7/23/19975/31/2003
InactivePremier Dental Network Inc.300661Agent - Prepaid Dental Plan4/2/19962/2/2001
InactivePrincipal Life Insurance Company300129Agent - Health5/29/19855/31/2003
InactivePrincipal Life Insurance Company300129Agent - Life5/29/19855/31/2003
InactiveProtective Life Insurance Company300638Agent - Health5/29/19985/31/2003
InactiveProtective Life Insurance Company300638Agent - Life5/29/19985/31/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/31/19955/31/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/31/19955/31/2003
InactiveReassure America Life Insurance Company301902Agent - Health5/2/20001/2/2003
InactiveReassure America Life Insurance Company300678Agent - Health3/12/20024/30/2003
InactiveReassure America Life Insurance Company301902Agent - Life5/2/20001/2/2003
InactiveReassure America Life Insurance Company300678Agent - Life3/12/20024/30/2003
InactiveSecurity Life Insurance Company of America300936Agent - Health7/31/200012/23/2002
InactiveSecurity Life Insurance Company of America300936Agent - Life7/31/200012/23/2002
InactiveSun Life Assurance Company of Canada301811Agent - Health11/6/19923/31/1997
InactiveSun Life Assurance Company of Canada301811Agent - Life11/6/19923/31/1997
InactiveSymetra Life Insurance Company301691Agent - Health3/28/19956/26/2001
InactiveSymetra Life Insurance Company301691Agent - Life3/28/19956/25/2001
InactiveTime Insurance Company300683Agent - Health8/30/19833/13/2001
InactiveTime Insurance Company300683Agent - Life8/30/19833/13/2001
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health7/20/19995/31/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life7/20/19995/31/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Health6/25/19975/31/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Life6/25/19975/31/2003
InactiveUnion Bankers Insurance Company301769Agent - Health6/12/19894/14/1997
InactiveUnion Bankers Insurance Company301769Agent - Life6/12/19894/14/1997
InactiveUnion Security Insurance Company301844Agent - Health2/7/20025/31/2003
InactiveUnion Security Insurance Company301844Agent - Life2/7/20025/31/2003
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health12/30/19975/31/2003
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health8/5/19995/31/2003
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life8/5/19995/31/2003
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/14/19995/31/2003
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/14/19995/31/2003
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/13/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/13/19953/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/20015/31/2003
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization3/12/19993/1/2001
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health1/24/19975/31/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life1/24/19975/31/2003
InactiveWoodmen Accident and Life Company300147Agent - Health8/21/19966/28/2000
InactiveWoodmen Accident and Life Company300147Agent - Life8/21/19966/28/2000
Inactive300277Agent - Health6/9/19995/31/2003
Inactive300277Agent - Life6/9/19999/9/2002
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health7/2/199212/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life7/2/199212/31/2001
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveGoldberg, Howard 366447Agent - Health2/28/199611/27/1999
InactiveGoldberg, Howard 366447Agent - Life2/28/19967/1/2002
InactiveGoldberg, Jack 308808Agent - Health4/26/19835/31/2003
InactiveGoldberg, Jack 308808Agent - Health Maintenance Organization10/15/19853/1/2001
InactiveGoldberg, Jack 308808Agent - Life4/26/19835/31/2003
InactiveRoberts, Elise G 341441Agent - Health2/28/19967/1/2002
InactiveRoberts, Elise G 341441Agent - Life2/28/19967/1/2002

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